- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $651.00 / $3,174.00 / $10,893.00
| Facility | | $651.00 | $3,174.00 | $10,893.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $364.35 / $426.92 / $515.28
| Professional | | $364.35 | $426.92 | $515.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,760.21 / $35,204.98 / $69,648.14
| Facility | | $19,760.21 | $35,204.98 | $69,648.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $349.05 / $441.81 / $615.54
| Professional | | $349.05 | $441.81 | $615.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $325.56 / $325.56 / $325.56
| Facility | | $325.56 | $325.56 | $325.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,631.06 / $27,631.06 / $27,631.06
| Facility | | $27,631.06 | $27,631.06 | $27,631.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $383.55 / $521.80 / $822.12
| Professional | | $383.55 | $521.80 | $822.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $11,933.00 / $109,181.40
| Facility | | $55.00 | $11,933.00 | $109,181.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,606.48 / $2,676.24 / $3,147.90
| Professional | | $2,606.48 | $2,676.24 | $3,147.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $358.06 / $453.30 / $847.30
| Facility | | $358.06 | $453.30 | $847.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $465.50 / $537.12 / $644.54
| Professional | | $465.50 | $537.12 | $644.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $323.94 / $379.56 / $647.16
| Professional | | $323.94 | $379.56 | $647.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $358.06 / $462.18 / $973.09
| Facility | | $358.06 | $462.18 | $973.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $383.41 / $529.74 / $890.80
| Professional | | $383.41 | $529.74 | $890.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,641.00 / $21,362.00 / $82,647.00
| Facility | | $10,641.00 | $21,362.00 | $82,647.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $308.81 / $418.84 / $672.21
| Professional | | $308.81 | $418.84 | $672.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $305.61 / $348.69 / $479.95
| Professional | | $305.61 | $348.69 | $479.95 |